Review Article
Thyroid Surgery for Elderly Patients: Are They at Increased Operative Risks?
Table 2
A comparison of pathology, readmission rate, monetary cost, and hospital mortality in different elderly patients’ series.
| Study |
Design | Pathology | Readmission | Cost | Mortality (within 30 days) |
|
Bliss et al. [3] (1999) | Retrospective | (i) MNG * | | | | (ii) Carcinoma * | | | | (iii) Adenoma * | | | 0.87% (elderly) | (iv) Hashimato’s | NA | NA | 0.1% (61–74) | (v) Single nodule | | | 0.1% (50–60) | (vi) Graves | | | | (vii) Others | | | |
|
Passler et al. [16] (2002) | Retrospective | (i) PTC | | | | (ii) FTC | | | | (iii) ATC | | | | (iv) MTC |
NA |
NA |
0% | (v) MTC + DTC | | | | (vi) Others | | | |
|
Lang and Lo [5] (2005) | Retrospective | (i) Functional (toxic) MNG * |
NA |
NA |
0% | (ii) Occult PTC | | | |
|
Sosa et al. [6] (2008) | Cross sectional | (i) Benign * | |
#(1) $ 7084 ( 6653-7514) * | (1) 0.8% | (ii) Adenoma and cyst * | NA |
#(2) $ 5917 (5769-6066) * | (2) 0.2% | (iii) Malignancy * | |
#(3) $ 5263 ( 5182-5344) * | (3) 0.1% | | |
#(4) $ 4905 (4821-4990) * | (4) 0% |
|
Mekel et al. [15] (2009) |
Retrospective | (i) Benign | (1) 1.1% for hypocalcaemia (2) 0% | | | (ii) Malignancy | NA | | (iii) Incidental micropapillary | | 0% |
|
Grogan et al. [4] (2012) | Prospective cohort | NA | NA | NA | 0% |
|
Syebt et al. [10] (2012) | Prospective non-randomized | (i) Benign | (1) 4.5% | NA | | (ii) Malignancy | (2) 1.2% | | 0% |
|
|
*Statistically significant ().
#Adjusted for race, gender, hospital region, procedure, diagnosis, comorbidity, surgeon volume, household income, primary payer, and admission type in superelderly, elderly, 45-64 and 18-44 cohorts. PTC: Papillary thyroid cancer, FTC: Follicular thyroid cancer, MTC: Medullary thyroid cancer, DTC: Differentiated thyroid cancer.
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